Operational Works Application OPW17-0552 · OPW17/0552

Department of Infrastructure, Local Government and Plannin

 

       

18) Has any referral agency srendtelet| a Reiter (Sse lon
(Yes - referral response(s) received and listed below are attached to this development application

TYNo

Referral requirement Referral agency Date of referral response

BS slew Zellolela nein: application?

 

 

 

 

 

 

Identify and describe any changes made to the proposed development application that was the subject of the referral
response and the development application the subject of this form, or include details in a schedule to this development
application (if applicable).

 

 

 

 

PART 6 ~ INFORMATION REQUEST

 

ech) octal Rises: (Ufelofeie eeetnect! oi the DA Rules

[| agree to receive an information request if determined necessary for this development application

(11 | do not agree to accept an information request for this development application
Note: By not agreeing to accept an information request I, the applicant, acknowledge:

e that this development application will be assessed and decided based on the information provided when making this development application and
the assessment manager and any referral agencies relevant to the development application are not obligated under the DA Rules to accept any
additional information provided by the applicant for the development application unless agreed to by the relevant parties

* Part 3 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.

Further advice about information requests is cantained in the DA Forms Guide.

 

PART 7 — FURTHER DETAILS

   

ZO NG eet associated development applications or current approvals? (e.g. a preliminary ET eel) :
(1 Yes ~ provide details below or include details in a schedule to this development application
No

List of approval/development Reference number Date Assessment manager
application references

(1 Approval
(J Development application

C1] Approval
(] Development application

 

 

 

 

 

 

 

 

24) Has the portable tong Seine leave levy. been paid? (only: adie Gress applications Gate} building ae: OF

operational. work}
(Cl Yes - the yellow local government/private certifier’s copy of the receipted QLeave form is attached to this
development application

(1 No ~1, the applicant will provide evidence that the portable long service leave levy has been paid before the
assessment manager decides the development application. | acknowledge that the assessment manager may give a
deyelopment approval only if | provide evidence that the portable long service leave levy has been paid

[Wot applicable

Amount paid Date paid (dd/mm/yy) QLeave levy number (A, B or E)
$

 

 

 

 

 

22) \s this colNeilele inal siait application in eoweiee toa show Use notice or required as a result-of an enforcement notice?

[MYes — show cause or enforcement notice is attached Re ler To Picege Caxwico

LI No EtLéiw GECING Otticor DEVewrmen Acte sec MoT
t

    

 

 

 

Page 7
DA Farm 1 ~— Development Application details
Version 1.0—3 July 2017